# COACHELLA VALLEY PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669344321
- **Authorized official:** PEACHY LUA (PHARMACIST)
- **Authorized official phone:** (760) 223-7188

## Contact information

- **Practice address:** 77932 COUNTRY CLUB DRIVE, SUITE 2-2, PALM DESERT, CA 92211
- **Practice address phone:** (760) 223-7188
- **Practice address fax:** (760) 223-7187
- **Mailing address:** 77932 COUNTRY CLUB DRIVE, SUITE 2-2, PALM DESERT, CA 92211
- **Mailing address phone:** (760) 223-7188
- **Mailing address fax:** (760) 223-7187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 09/22/2025